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Related Experiment Video

Updated: Jun 25, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

Variables determining outcome in total hip replacement surgery.

O Rolfson1, L E Dahlberg, J-A Nilsson

  • 1Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital Mölndal, SE-431 80, Mölndal, Sweden. ola.rolfson@vgregion.se

The Journal of Bone and Joint Surgery. British Volume
|February 5, 2009
PubMed
Summary

Pre-operative anxiety/depression significantly predicts pain relief and satisfaction after total hip replacement. Mental health assessment is crucial for optimizing patient outcomes and quality of life.

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Area of Science:

  • Orthopaedic Surgery
  • Health Psychology
  • Quality of Life Research

Background:

  • Health-related quality of life (HRQoL) is a key outcome measure after total hip replacement (THR).
  • The EQ-5D is a widely used HRQoL tool assessing five dimensions, including anxiety/depression.
  • The predictive value of pre-operative mental health on THR outcomes requires further investigation.

Purpose of the Study:

  • To investigate if the anxiety/depression dimension of the EQ-5D can predict post-operative outcomes following primary total hip replacement for osteoarthritis.
  • To examine the association between pre-operative anxiety/depression and post-operative pain relief and patient satisfaction.

Main Methods:

  • Analysis of pre-operative and one-year post-operative data from the Swedish Hip Arthroplasty Register.

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Published on: September 7, 2022

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Last Updated: Jun 25, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

  • Inclusion of 6158 patients undergoing primary total hip replacement for hip osteoarthritis.
  • Use of analysis of covariance to assess the relationship between pre-operative EQ-5D anxiety/depression and outcome variables.

    • Main Results:

    • The pre-operative EQ-5D anxiety/depression dimension was a significant predictor of both pain relief and patient satisfaction (p < 0.001).
    • Higher levels of pre-operative anxiety/depression were associated with poorer outcomes in terms of pain and satisfaction.

    Conclusions:

    • Pre-operative anxiety/depression is a strong predictor of outcomes after total hip replacement.
    • Orthopaedic surgeons should consider mental health status in patients undergoing THR.
    • Integrating mental health assessments may lead to tailored management strategies for improved post-operative pain and HRQoL.